NATIONAL CENSUS COMMISSION

105 Brickdom Road, Kitty

Cel# 90333, Email Address ncc@gmail.com
Fillable form
Census Data
This form was created to solicit data from households for the 2023 National Census

1. How many persons are in this household?

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2. Do you have access to clean drinking water?

☐Yes ☐ No ☐ Sometimes

3. Specify the date of which persons would have started to occupy this house.
Click here to enter a date.

4. What type of family inhabits this household?

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5. How many occupants of this household are employed

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6. Please state the address of the premises?

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7. How many bedrooms does this house have?

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8. What is the average monthly income of employed family member within the
household?
☒$90k to $150k ☐$150k to $350k ☐below $90k
☒ More than $350k

Serafina Persaud
Kayla Woode
Beanka Paul
Kwame Cole